Hafnarstræti 18, 600 Akureyri, third floor apartment 3B. Five-story reinforced concrete building built in 1992. Main entrance with key code access, code is 2749. Elevator and central staircase available. Street parking, limited spaces. Building has a fire suppression system. Current conditions: 7°C, overcast, moderate wind. GPS coordinates: 65.6831° N, 18.0897° W. Nearest landmark: Akureyri Art Museum.
68-year-old male, sudden onset of stroke symptoms. Primary symptoms: Right-sided facial droop, slurred speech, weakness in right arm and leg. Secondary symptoms: Confusion, difficulty understanding simple questions. Patient is conscious but agitated. Patient is sitting in a chair in the living room. Medical history: Hypertension, type 2 diabetes, hyperlipidemia. Medications: Metformin 1000mg twice daily, Lisinopril 20mg daily, Atorvastatin 40mg daily. No known allergies. Last meal was a light lunch at 13:00. Patient is a smoker, 1 pack per day.
Timeline: 14:10 hours: Patient was watching TV when he suddenly felt weakness on his right side. 14:11 hours: Patient attempted to stand, but fell back into the chair, slurring speech and facial droop noted by wife. 14:12 hours: Wife called emergency services. 14:14 hours: Current time, patient is still sitting in the chair, confused and unable to move right side. Prior Events: Patient had a TIA 2 years ago, no residual deficits. Regular check-ups with family doctor, last appointment 6 months ago. Compliant with medications, no recent changes. No recent illnesses or injuries. Patient has a history of smoking for 40 years.
Initial Impression: Suspected Acute Ischemic Stroke Justification for F1 Classification: - Sudden onset of focal neurological deficits including facial droop, slurred speech, and unilateral weakness - Time-sensitive condition requiring immediate intervention to minimize brain damage - High risk of permanent disability or death without rapid treatment Differential Diagnoses: 1. Ischemic Stroke (high probability) 2. Hemorrhagic Stroke (less likely, but must be ruled out) 3. Transient Ischemic Attack (TIA) (less likely due to persistent symptoms) 4. Hypoglycemia (less likely given diabetic history and no reported symptoms) 5. Seizure (less likely due to lack of convulsive activity) Required Actions: - Dispatch of ground EMS with ALS capabilities - Pre-notification of nearest stroke center (FSA Akureyri) - Rapid transport with continuous neurological assessment - Preparation for potential thrombolytic therapy or mechanical thrombectomy